Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208800000X | Urologist | 124373 | NY |
NPI | 1023204013 |
---|---|
Provider Name | Francisco P Yuvienco |
First Address | New York, NY 10003-9151 |
Second Address | New York, NY 10003-9151 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 24/09/2007 |
Last Update Date | 19/08/2008 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
00233321 | (05) | NY |
B12625 | (02) | NY |